Hi Denise,
Welcome to the site. So glad you posted. Please, ask as many questions as you have... don't hesitate, no matter what they may be. Time is short before surgery, and with the holidays, many of us will not be on the site as often.
I would recommend doing a search on the site for heart valves.. and type.. or choice. There have been so many discussions on what to choose.
Bottom line... It is all a matter of personal preference, give and take..based on personal needs.
I had my valve replaced at 49, no choice in selection to the emergency nature of my situation. I now have a St Judes mechanical valve, and yes I take Blood Thinners.. and.. I live my life as active as I did prior to surgery. It is managable, and being aware of how best to manage it,( which by the way, is well talked about here), will make life almost the same as prior to surgery. I know that my valve should last me the rest of my life. If I selected a tissue valve, I may be facing another surgery when I am 65 or so. Well, who knows what my health will be like at that age. Maybe, due to other medical issues, I may not be able to have another surgery at that age. Well, this is just my point of view, as I mentioned before, it is all personal preference. I also feel that blood thinners get a real bad rap.. yes there are dangers.. but it is not as bad as everyone seems to make it out to be. In fact, they are working on a new type of blood thinner that may take many of the risk factors away. It is called Exanta, and it has a way to go with the clinical trials before it is recommended for valve replacement patients.. but.. with the advancements in this area... Maybe... I wont have to be on Coumadin for the rest of my life.
Everyone here in their own way can justify their choices... Listen to them.. evaluate your life style.. and when you make a choice.. be positive and final with your selection.
Happy Holidays,
Rob